TY - JOUR
T1 - Factor structure of the Fear of Cancer Recurrence Inventory (FCRI)
T2 - Comparison of international FCRI factor structure data and factor analysis of the Dutch FCRI-NL using three predominantly breast cancer samples
AU - van Helmondt, Sanne Jasperine
AU - van der Lee, Marije Liesbeth
AU - Bisseling, Else Maria
AU - Lodder, Paul
AU - de Vries, Jolanda
N1 - Funding:
Sample 1: This research did not receive any specific grant from funding agencies in the public, commercial or not‐for‐profit sectors. It was funded by the Helen Dowling Institute. Sample 2: The CAREST study was funded by a grant from Pink Ribbon (2012.WO43.C158) awarded to Dr Marije L. van der Lee. Sample 3: The BeMind study was funded by a grant from Pink Ribbon (2012.WO14.C153) awarded to Prof. Anne E.M. Speckens and Dr. Marije L. van der Lee.
PY - 2021
Y1 - 2021
N2 - Objective: Factor structure results of Fear of Cancer Recurrence Inventory (FCRI) translations are inconclusive. Through investigating the factor structure, this study aimed to improve the FCRI and its usability. Therefore, we did a comprehensive comparison of the factor structure results of all translations, by exploring and improving the structure of the Dutch FCRI-NL and by testing this new factor structure in two patient samples.Methods: To compare factor structure results of FCRI translations, we did a literature search using PubMed and Google Scholar. We performed exploratory factor analysis (EFA) in a mixed cancer sample. The confirmatory factor analyses (CFAs) were secondary analyses performed in two randomized controlled trial samples: consecutive breast cancer patients and distressed, mainly breast cancer patients.Results: All translations showed comparable and reasonable factor structure results; however, the FCRI factor structure can be improved. The EFA resulted in a four-factor solution: fear of cancer recurrence (FCR) severity, cognitive coping, impact of FCR on functioning and behavioural coping. However, the 4-factor CFAs did not fit the sample 2 and 3 data well.Conclusion: Further exploring the FCRI-NL factor structure did not result in a psychometrically stronger FCRI-NL. Therefore, we recommend retaining the 7-factor FCRI-NL.
AB - Objective: Factor structure results of Fear of Cancer Recurrence Inventory (FCRI) translations are inconclusive. Through investigating the factor structure, this study aimed to improve the FCRI and its usability. Therefore, we did a comprehensive comparison of the factor structure results of all translations, by exploring and improving the structure of the Dutch FCRI-NL and by testing this new factor structure in two patient samples.Methods: To compare factor structure results of FCRI translations, we did a literature search using PubMed and Google Scholar. We performed exploratory factor analysis (EFA) in a mixed cancer sample. The confirmatory factor analyses (CFAs) were secondary analyses performed in two randomized controlled trial samples: consecutive breast cancer patients and distressed, mainly breast cancer patients.Results: All translations showed comparable and reasonable factor structure results; however, the FCRI factor structure can be improved. The EFA resulted in a four-factor solution: fear of cancer recurrence (FCR) severity, cognitive coping, impact of FCR on functioning and behavioural coping. However, the 4-factor CFAs did not fit the sample 2 and 3 data well.Conclusion: Further exploring the FCRI-NL factor structure did not result in a psychometrically stronger FCRI-NL. Therefore, we recommend retaining the 7-factor FCRI-NL.
KW - EQUIVALENCE
KW - Fear of Cancer Recurrence Inventory (FCRI)
KW - VALIDATION
KW - VERSION
KW - breast cancer
KW - fear of cancer recurrence (FCR)
UR - http://www.scopus.com/inward/record.url?scp=85103033207&partnerID=8YFLogxK
U2 - 10.1111/ecc.13431
DO - 10.1111/ecc.13431
M3 - Article
C2 - 33763943
SN - 0961-5423
VL - 30
JO - European Journal of Cancer Care
JF - European Journal of Cancer Care
IS - 5
M1 - e13431
ER -